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1316402894
CARLY ELIZABETH RUSSO
DALLAS, TX
NPI
1316402894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1315328)
Enumeration Date
2019-02-08
Last Update Date
2019-02-08
Business Address
CARLY ELIZABETH RUSSO DPT
2425 VICTORY AVE APT 264
DALLAS, TX 75219-7720
Phone number: 610-737-8046
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Mailing Address
CARLY ELIZABETH RUSSO DPT
2425 VICTORY AVE APT 264
DALLAS, TX 75219-7720
Phone number: 610-737-8046
Copy
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